Active NPI
Thomas David Judd, LMSW, CBIS
- Social Worker
- Mason, MI
National Provider Identifier
1497944367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801089697
- Practice address
- 3181 Sandhill Rd
Mason, MI 48854 - Phone
- (517) 336-6060
- Fax
- (517) 336-6050
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801089697 | MI | Primary |
Addresses
Primary practice location
3181 Sandhill Rd
Mason, MI 48854
Mailing address
3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1497944367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SANDHILL RD",
"city": "MASON",
"state": "MI",
"postal_code": "48854",
"telephone_number": "517-336-6060",
"fax_number": "517-336-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SANDHILL RD",
"city": "MASON",
"state": "MI",
"postal_code": "48854",
"telephone_number": "517-336-6060",
"fax_number": "517-336-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "THOMAS",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMSW, CBIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801089697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.